Organization
SAN FERNANDO VALLEY REGIONAL PET CENTER LLC
Active
Other names
INSIGHT IMAGING-San Fernando Valley PET/CT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
6855 NOBLE AVE, VAN NUYS, CA 91405-3729
(818) 994-6178
(818) 994-6739
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
11/08/2007
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